Phg. P.U. 1/1990
PEGUAM SYARIAH RULES 1990
FORM A
(RULE 10)
APPLICATION FORM FOR ADMISSION AS A PRGUAM SYARIAH
To,
The Chairman of the Committee.
With due respect I apply to be admitted as aPeguam Syariah and hereunder are my personal particulars.
(To be filled by the Applicant in CAPITAL LETTERS)
1. Name:
2. Other names (if any):
3. Sex:
4. Date of Birth:
5. Place of Birth:
6. Single/Married:
7. Citizenship:
8. Race:
9. Identification Card Number and colour:
10. Place and Date of Issue:
11. Regular Business Address:
12. Telephone Number:
13. Address of Residence:
14. Sect:
15. Qualification:
16. Experience:
I hereby affirm that all particulars stated above are true.
Date .......................................... ..........................................
Signature of Applicant
REMINDER
The Applicant shall submit certified true copies of certificates, testimonials, recommendations and other relevant documents to support his application.
FOR COMMITTEE'S USE ONLY
Date of receipt:
Decision of the Committee-
Approved:
Postponed:
Reasons for postponed:
Date when Applicant Informed:
Date of Receipt of Registration Fee:
Receipt Number:
Sent on:
Entered into The Register:
Serial Number:
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